Butt augmentation has gained widespread popularity as plastic surgery techniques have evolved to match the increasing demand. Importantly, butt augmentation should be viewed as both a volume and shape procedure. The idea that bigger is better is simply not true. The art in this procedure is to give both the proper size and shape in proportion to the height and weight of the patient.

The two methods of butt augmentation are implant placement and fat grafting. The advantage of implants is that they can be used in patients who might not have enough fat to harvest for augmentation. They are also permanent. However, implants also have many common side effects including chronic pain, infection, seroma formation (fluid collections around the implants), and hardening with unnatural feel. Because of these possible complications, most surgeons, including myself, prefer fat injections.

Fat grafting has the advantage of being completely natural. Liposuction is used to “harvest” the fat by removing fat from unwanted areas such as the abdomen, love handles, thighs, and around the buttocks. The liposuction part of the procedure can be used to shape the butt and to improve other areas of the body. This fat is washed, specially treated, and then carefully injected into the butt to give it a perfect shape. In some cases, the augmentation can be combined with a lift procedure for an optimal result.

 

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Patient Focus 1

Procedures: Brazilian Butt Lift/Augmentation

 

 

 

Case 2

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EXPECTATIONS

LENGTH

2 - 4 hours

ANESTHESIA

General

IN/OUTPATIENT

Outpatient

SIDE EFFECTS

Temporary swelling, bruising, pain, and need to avoid pressure on fat grafts for several weeks

RISKS

Pain, bleeding, infection, incomplete improvement, contour irregularity, loss of fat graft, and rare fat embolism

RECOVERY

Back to work: about 2 weeks
More strenuous activity: 3 - 4 weeks

FINAL APPEARANCE

1 - 2 months for swelling to resolve

DURATION OF RESULTS

Permanent, although a variable portion of the fat grafts can be expected to be reabsorbed